Creating a new class of pharmaceutical services provider for underserved areas: the Tanzania accredited drug dispensing outlet experience.
Creating a new class of pharmaceutical services provider for underserved areas: the Tanzania accredited drug dispensing outlet experience.
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DOI：
10.1353/cpr.0.0063
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发表时间：
2009-01-01
期刊：
影响因子：
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通讯作者：
Alphonce, Emmanuel
中科院分区：
文献类型：
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作者：
Rutta, Edmund;Senauer, Katie;Alphonce, Emmanuel
问题：在发展中国家，常见疾病最容易获得的治疗来源通常是非正规药店，那里的药品销售者未经培训，操作也不受监督。目的：我们试图描述坦桑尼亚的一项公私合作倡议，该倡议在政府认可的药品销售点创建了一类新的提供者，从而提高了以前服务不足地区的药品和医药服务质量。重点：经认证的药品调剂网点计划结合了使用、拥有、管理和在药店工作的社区成员不断变化的行为和期望。成功源于从一开始就包括社区利益相关者。结论：在发展中国家，在适当的政策和监管环境支持下，通过培训和认证私营部门药品分发人员以识别常见情况并提供优质药品和服务，解决合格卫生保健提供者短缺问题是可行的。扩大和维持该计划将是一个挑战。
THE PROBLEM: In developing countries, the most accessible source of treatment for common conditions is often an informal drug shop, where drug sellers are untrained and operations are unmonitored.PURPOSE: We sought to describe a public-private initiative in Tanzania that created a new class of provider in government-accredited drug outlets, which improved the quality of medicines and pharmaceutical services in previously underserved areas.KEY POINTS: The accredited drug-dispensing outlet program combines changing behavior and expectations of community members who use, own, regulate, and work in drug shops. Success resulted from including community stakeholders from the beginning of the process.CONCLUSIONS: Addressing shortages in qualified health care providers by training and accrediting private sector drug dispensers to recognize common conditions and provide quality pharmaceutical products and services is feasible in a developing country, when supported by an appropriate policy and regulatory environment. Scaling up and sustaining the program will be a challenge.